Fourier Health vs Stream
Faxed records are where these two overlap. Fourier Intake ingests, classifies, sorts, labels and uploads inbound faxes, PDFs and scans into the EHR, and the vendor claims 80% less manual entry. Stream's optional Inlet add-on summarizes incoming faxes and records, files them under the patient's problems with links to source pages, and the vendor says it files nothing without review. Inlet starts at $89 per month for 500 pages, with extra pages at $0.14 and a $299 one-time fax number setup.
Stream has no EHR write-back, and the vendor plans none this year. That makes Inlet lose for a multi-site group or MSO on Epic that wants referrals landing in the chart. Fourier sells to health systems, specialty networks and MSOs by demo request.
An independent practice that wants visit notes plus a few hundred fax pages a month handled gets both from Stream Pro and an Inlet tier, copying the notes to the clipboard.
AI medical scribes · Reviewed November 2, 2026
Fourier Health
by Fourier Health · founded 2023
AI medical record intake and cited specialty summaries for health systems, specialty networks and MSOs, delivered into the EHR.
Stream
by River Records, Inc.
AI scribe that files each visit under the patient's medical problems, for independent practices.
When to pick each one
Fourier Health
- Group on Epic needing records filed in chart
- Auto-sorts and uploads faxes, PDFs, scans
- Sales-led, demo request, no pricing page
Stream
- Independent practice of one to twenty clinicians
- Inlet fax intake from $89 per month
- Stream Pro $149 per clinician monthly
Score
Each row shows points earned of points available under the published rubric.
Fourier Health
47of 100
Stream
19of 100
| Dimension | Fourier Health | Stream | Difference |
|---|---|---|---|
| HIPAA / SOC2 / BAA | 13 / 13 | 7.8 / 13 | +5.2 |
| EHR integrations (count) | 6.3 / 21 | 0 / 21 | +6.3 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 12 / 12 | 0 / 12 | +12 |
| Bidirectional write-back | 0 / 5.2 | 0 / 5.2 | 0 |
| Peer-reviewed papers | 0 / 7 | 0 / 7 | 0 |
| RCT / meta-analysis / systematic review | 0 / 3 | 0 / 3 | 0 |
| Funding & adoption signal | 3 / 12 | 3 / 12 | 0 |
| Pricing transparency | 2.5 / 5 | 5 / 5 | -2.5 |
| Years in market | 3 / 6 | 0 / 6 | +3 |
Scroll horizontally to see every column.
Pricing
Fourier Health
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. The site is sales-led with Request a demo and no pricing page. |
Verified November 2, 2026 from fourierhealth.com (opens in new tab).
Stream
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Stream Lite | $59 | n/a | Scribe only. Audio, transcript and note are deleted after 48 hours. |
| Stream Pro, monthly billing | $149 | n/a | Per clinician. Unlimited visits, 30 day free trial with no card, BAA included. First non-clinician seat free, extra staff $25 per month. No contract or minimum term. |
| Stream Pro, annual billing | $99 | n/a | Per clinician, billed annually at $1,188 a year. Same tier as Stream Pro on monthly billing. |
| Stream Inlet Starter | $89 | n/a | Optional fax intake add-on. 500 pages per month, extra pages $0.14 each, one-time $299 fax number setup. |
| Stream Inlet Practice | $199 | n/a | Optional fax intake add-on. 1,500 pages per month. |
| Stream Inlet Practice+ | $349 | n/a | Optional fax intake add-on. 3,000 pages per month. |
| Clinic | n/a | n/a | No public price. Clinic plan for 3 or more clinicians, quoted with volume discounts. |
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | Fourier Health | Stream |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Epic, Cerner, Athena | Not specified |
| Founded | 2023 | n/a |
| HQ | US | n/a |
Scroll horizontally to see both columns.
Common questions
Open the full ai medical scribes comparison
The best AI medical scribe for most US physicians is Abridge for hospital systems, Freed AI for solo practice (plans from $39 to $119 per month as of October 2026), Heidi Health for multilingual capture, and DAX Copilot for Microsoft-shop hospitals. Each pick below names its primary EHR integration, pricing model, and the clinician communities that surface it most often. Enterprise scribes are quote-based, with third-party estimates of roughly $208 to $600 per provider per month as of October 2026.